The economic implications of high-risk abdominal aortic aneurysms

摘要: Abstract Financial data of 102 patients undergoing elective and emergent abdominal aortic aneurysm repair over a 3-year period were evaluated in terms postoperative length stay, net revenue, total standard cost, margin. Cost reimbursement was based on diagnosis related group payments. Aneurysm repairs classified as emergent, high-risk elective, or low-risk elective. A loss $409,459 noted for the entire series. Emergent repairs, although only 12% population, accounted 73% losses, with mean $24,655/patient. The $3590/patient, gain $1132/patient group. Length stay outliers, defined > 28 days, contributed to bulk losses series predominant No preoperative comorbidity, other than classification, predicted outlier status. correlated costs all categories repair. Third party payment outliers inadequate; system warrants revision so that will be tiered derived from stay. (J VASC SURG 1991;13:798-804.)